กรณีศึกษา CVT

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  • 8/15/2019 CVT

    1/5

    ผ  ป วยรายท  1 อาย 53 ป (HN 1887419)Dx: Mitral valve insufciency (MR ?)

    เขารบการรกษาในหอผ  ปวย CVT เม อวนท  8/5/2557

    Labratry results

    8!"!"7 9!"!#""7BUN (mg/dL) 11sCr (mg/dL) 0.85eGFR (mL/min) 99.8!"di#m(m$%/L)

    11 12

    &"'ssi#m

    (m$%/L)

    3.7 .2

    C*"ride(m$%/L)

    10

     T"'* C+2(m$%/L)

    2

    Fs'ing ,*""dg*#-"se(mg/dL)

    8

    , (g/dL) 1.5

    -' () 2.7CV 70.7C 2.0CC 3.0R () 15BC -"#n'(-e**s/mm3)

    8510

    Ne# () 5L4m () 33

    $" () Bs" () 0"n" () 5&*'e*e' -"#n'(-e**s/mm3)

    2506000

    B*""d smer nis"-4'"sis e

  • 8/15/2019 CVT

    2/5

    mi-r"-4'"sis e

    &T (se-) 11.8&TT (se-) 25.1

    :NR 0.98,s;g neg'i

  • 8/15/2019 CVT

    3/5

  • 8/15/2019 CVT

    4/5

    (mg/dL)sCr(mg/dL)

    0.780.79 0.98 1.01 0.59

    eGFR 100.91mL/min

    100.38mL/min

    85.8mL/min

    82.7mL/min

    113.18mL/min

    !"di#m 135 133 129 132 135 131&"'ssi#m 3.8 2.5 . 3.2 3.9 2.C*"ride 98 92 93 98 95 87 T"'* C+2 28 32 28 23 29 3C*-i#m 8.3&"s"r#s

    2.

    gnesi#m

    1.8

    B*""dg*#-"se

    93(rnd"m)

    ;!T 0 :U/L;LT 1 :U/L;L& 0 :U/L T"'*,i*ir#,in

    2.71

    ire-',i*ir#,in

    1.38

    ;*,#min .0 g/dLG*",#*in 3.9 g/dL, 11.2 11.2 8.9 9. 9.

    #1!4!"7 "!"!"7 .!"!"7 7!"!"7 8!"!"7 1#!"!"7-' 33. 33.0 2.2 28.0 28.1CVCCCRBC-"#n'Ne#

    L4m$"Bs""n"&*'e*e'-"#n'B*""dsmer

  • 8/15/2019 CVT

    5/5

    &T&TT:NR,s;g,s;,

    ,-;, T"'*-"*es'er"*LL=CL=C Trig*4-erides T 5.8 T3 0.7Free T 1.23

    Free T3 1.91 T! .30